Individual provider Active NPI

Sheldon T Ceaser, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1215098702
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036068033 Issued in IL
Practice address
231 E 75TH St
Chicago, IL 60619-2267
Phone
(773) 846-1200
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036068033 IL Primary

Addresses

Primary practice location

231 E 75TH St
Chicago, IL 60619-2267

Mailing address

231 E 75TH St
Chicago, IL 60619-2267
Phone (773) 846-1200

Other identifiers 2

IdentifierTypeStateIssuer
31602649OtherILBLUE CROSS AND BLUE SHIEL
110022821OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120820001035 IL Practitioner - Internal Medicine 3476709916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 E 75TH St
Chicago, IL 60619-2267
Phone (773) 846-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036068033ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S T Ceasar MD SC Internal Medicine CurrentSince Mar 3, 2012 Accepting new patients

Locations

231 E 75th St
Chicago, IL 60619
Phone (773) 651-2311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1215098702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192267",
            "telephone_number": "773-846-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192267",
            "telephone_number": "773-846-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEASER",
        "first_name": "SHELDON",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036068033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "31602649",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110022821",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.